MR. TYLER BLOCKER CRNA
NPI 1205269305
Nurse Anesthetist, Certified Registered in Jackson, TN

Q: What is Tyler Blocker's NPI number?

The NPI number for Tyler Blocker is 1205269305. It was assigned to this individual provider in the NPPES registry on August 13, 2013.

Q: What is Tyler Blocker's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Blocker was last updated on May 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 13, 2013Accepts Medicare Assignment

620 SKYLINE DR, JACKSON, TN 38301(731) 541-5000 Get Directions Write a Review

NPPES record last updated: May 24, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Mr. Tyler Blocker Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TYLER BLOCKER CRNA (NPI 1205269305) is an individual nurse anesthetist, certified registered in Jackson, Tennessee, licensed in Tennessee (17863) and active in the NPI registry since August 2013. He is affiliated with University Of Mississippi Medical Center- Grenada, maintains 3 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1205269305

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMR. TYLER BLOCKERCredential: CRNA

Location Address620 SKYLINE DRJackson, TN 38301-3923

Mailing Address1068 Cresthaven Rd, Suite 150Memphis, TN 38119-0800

Phone(731) 541-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateAugust 13, 2013

Last NPPES UpdateMay 24, 2018

✔ NPI 1205269305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in TN · 17863✔ Licensed in MS · R879792

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

620 SKYLINE DR, Jackson, TN 38301

Open in Google Maps ↗

Secondary Practice Locations 3

Location 127 Medical Center DrJackson, TN 38301-3949 · Phone (731) 424-1001

Location 2700 W Forest AveJackson, TN 38301-3937 · Phone (731) 541-8800

Location 31068 Cresthaven Rd, SUITE 150Memphis, TN 38119-0800 · Phone (901) 682-2872

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Tyler Blocker Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133363682

PECOS Enrollment IDI20140505001470

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Mississippi Medical Center- Grenada

Acute Care Hospitals · Grenada, MS

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number250168

Location960 Avent DriveGrenada, MS 38901 · Grenada County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)

Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…

100%132 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY BROOKE OLDHAM PORTER M.D.

Pathology (Anatomic Pathology & Clinical Pathology)